Predictive value of nerve conduction measurements at the carpal tunnel
We compared the predictive values of three measurements of sensory conduction of the median nerve at the carpal tunnel (maximum latency difference [MLD], 8‐cm latency [S8], and 14‐cm latency [S14]) in 2334 hands of industrial workers, workers' compensation patients, and students, The MLD was de...
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| Veröffentlicht in: | Muscle & nerve 1993-12, Vol.16 (12), p.1377-1382 |
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| container_title | Muscle & nerve |
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| creator | Nathan, Peter A. Keniston, Richard C. Meadows, Kenneth D. Lockwood, Richard S. |
| description | We compared the predictive values of three measurements of sensory conduction of the median nerve at the carpal tunnel (maximum latency difference [MLD], 8‐cm latency [S8], and 14‐cm latency [S14]) in 2334 hands of industrial workers, workers' compensation patients, and students, The MLD was determined by the centimetric technique. The MLD was the most sensitive and efficient measurement for predicting carpal tunnel syndrome (CTS). An MLD ≥ 0.40 ms correctly identified 86.3% of 753 hands with CTS. The MLD correlated best with CTS and with the primary diagnostic category (CAT). MLD was the second factor selected in stepwise regression analysis for CAT (numbness was first and S8 was third). The MLD was the most important factor for predicting persistent or de novo CTS in a 5‐year follow‐up of 630 hands. Thus, the MLD was the most reliable nerve conduction study measurement for predicting current or future CTS in these subjects' hands. |
| doi_str_mv | 10.1002/mus.880161217 |
| format | Article |
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The MLD was the most sensitive and efficient measurement for predicting carpal tunnel syndrome (CTS). An MLD ≥ 0.40 ms correctly identified 86.3% of 753 hands with CTS. The MLD correlated best with CTS and with the primary diagnostic category (CAT). MLD was the second factor selected in stepwise regression analysis for CAT (numbness was first and S8 was third). The MLD was the most important factor for predicting persistent or de novo CTS in a 5‐year follow‐up of 630 hands. Thus, the MLD was the most reliable nerve conduction study measurement for predicting current or future CTS in these subjects' hands.</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.880161217</identifier><identifier>PMID: 8232396</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; carpal tunnel syndrome ; Carpal Tunnel Syndrome - diagnosis ; Carpal Tunnel Syndrome - physiopathology ; Female ; Follow-Up Studies ; Humans ; Male ; median nerve ; Median Nerve - physiology ; Median Nerve - physiopathology ; nerve conduction studies ; Neural Conduction ; Neurologic Examination ; occupational disease ; Occupational Diseases - diagnosis ; Occupational Diseases - physiopathology ; predictive value ; Prognosis ; Regression Analysis</subject><ispartof>Muscle & nerve, 1993-12, Vol.16 (12), p.1377-1382</ispartof><rights>Copyright © 1993 John Wiley & Sons, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3747-14e157f5d4ede73fc37a0b142dce3107c37cccf9e4d93b1bdf1ca7e621795f193</citedby><cites>FETCH-LOGICAL-c3747-14e157f5d4ede73fc37a0b142dce3107c37cccf9e4d93b1bdf1ca7e621795f193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmus.880161217$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmus.880161217$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8232396$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nathan, Peter A.</creatorcontrib><creatorcontrib>Keniston, Richard C.</creatorcontrib><creatorcontrib>Meadows, Kenneth D.</creatorcontrib><creatorcontrib>Lockwood, Richard S.</creatorcontrib><title>Predictive value of nerve conduction measurements at the carpal tunnel</title><title>Muscle & nerve</title><addtitle>Muscle Nerve</addtitle><description>We compared the predictive values of three measurements of sensory conduction of the median nerve at the carpal tunnel (maximum latency difference [MLD], 8‐cm latency [S8], and 14‐cm latency [S14]) in 2334 hands of industrial workers, workers' compensation patients, and students, The MLD was determined by the centimetric technique. The MLD was the most sensitive and efficient measurement for predicting carpal tunnel syndrome (CTS). An MLD ≥ 0.40 ms correctly identified 86.3% of 753 hands with CTS. The MLD correlated best with CTS and with the primary diagnostic category (CAT). MLD was the second factor selected in stepwise regression analysis for CAT (numbness was first and S8 was third). The MLD was the most important factor for predicting persistent or de novo CTS in a 5‐year follow‐up of 630 hands. Thus, the MLD was the most reliable nerve conduction study measurement for predicting current or future CTS in these subjects' hands.</description><subject>Adult</subject><subject>carpal tunnel syndrome</subject><subject>Carpal Tunnel Syndrome - diagnosis</subject><subject>Carpal Tunnel Syndrome - physiopathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>median nerve</subject><subject>Median Nerve - physiology</subject><subject>Median Nerve - physiopathology</subject><subject>nerve conduction studies</subject><subject>Neural Conduction</subject><subject>Neurologic Examination</subject><subject>occupational disease</subject><subject>Occupational Diseases - diagnosis</subject><subject>Occupational Diseases - physiopathology</subject><subject>predictive value</subject><subject>Prognosis</subject><subject>Regression Analysis</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UMtOwzAQtBColMKRI1J-IMWOnTg-8mpBlIdUKrhZjr0WgTwqOyn07zFqVXHitJqd2dHOIHRK8JhgnJzXvR_nOSYZSQjfQ0OCBY9ZKvJ9NMSE5XFGxdshOvL-A2NM8owP0CBPaEJFNkSTZwem1F25gmilqh6i1kYNuAB125g-MG0T1aB876CGpvOR6qLuPdDKLVUVdX3TQHWMDqyqPJxs5wgtJjcvV7fx7Gl6d3UxizXljMeEAUm5TQ0DA5zasFW4ICwxGijBPGCttRXAjKAFKYwlWnHIQjKRWiLoCMUbX-1a7x1YuXRlrdxaEix_65ChDrmrI-jPNvplX9Rgdupt_sDzDf9VVrD-30w-LOZ_nbeflL6D792lcp8y45Sn8vVxKueXk-t7wWZyTn8AU6N8Gw</recordid><startdate>199312</startdate><enddate>199312</enddate><creator>Nathan, Peter A.</creator><creator>Keniston, Richard C.</creator><creator>Meadows, Kenneth D.</creator><creator>Lockwood, Richard S.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>199312</creationdate><title>Predictive value of nerve conduction measurements at the carpal tunnel</title><author>Nathan, Peter A. ; Keniston, Richard C. ; Meadows, Kenneth D. ; Lockwood, Richard S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3747-14e157f5d4ede73fc37a0b142dce3107c37cccf9e4d93b1bdf1ca7e621795f193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>carpal tunnel syndrome</topic><topic>Carpal Tunnel Syndrome - diagnosis</topic><topic>Carpal Tunnel Syndrome - physiopathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>median nerve</topic><topic>Median Nerve - physiology</topic><topic>Median Nerve - physiopathology</topic><topic>nerve conduction studies</topic><topic>Neural Conduction</topic><topic>Neurologic Examination</topic><topic>occupational disease</topic><topic>Occupational Diseases - diagnosis</topic><topic>Occupational Diseases - physiopathology</topic><topic>predictive value</topic><topic>Prognosis</topic><topic>Regression Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nathan, Peter A.</creatorcontrib><creatorcontrib>Keniston, Richard C.</creatorcontrib><creatorcontrib>Meadows, Kenneth D.</creatorcontrib><creatorcontrib>Lockwood, Richard S.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Muscle & nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nathan, Peter A.</au><au>Keniston, Richard C.</au><au>Meadows, Kenneth D.</au><au>Lockwood, Richard S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive value of nerve conduction measurements at the carpal tunnel</atitle><jtitle>Muscle & nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>1993-12</date><risdate>1993</risdate><volume>16</volume><issue>12</issue><spage>1377</spage><epage>1382</epage><pages>1377-1382</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><abstract>We compared the predictive values of three measurements of sensory conduction of the median nerve at the carpal tunnel (maximum latency difference [MLD], 8‐cm latency [S8], and 14‐cm latency [S14]) in 2334 hands of industrial workers, workers' compensation patients, and students, The MLD was determined by the centimetric technique. The MLD was the most sensitive and efficient measurement for predicting carpal tunnel syndrome (CTS). An MLD ≥ 0.40 ms correctly identified 86.3% of 753 hands with CTS. The MLD correlated best with CTS and with the primary diagnostic category (CAT). MLD was the second factor selected in stepwise regression analysis for CAT (numbness was first and S8 was third). The MLD was the most important factor for predicting persistent or de novo CTS in a 5‐year follow‐up of 630 hands. Thus, the MLD was the most reliable nerve conduction study measurement for predicting current or future CTS in these subjects' hands.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>8232396</pmid><doi>10.1002/mus.880161217</doi><tpages>6</tpages></addata></record> |
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| ispartof | Muscle & nerve, 1993-12, Vol.16 (12), p.1377-1382 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adult carpal tunnel syndrome Carpal Tunnel Syndrome - diagnosis Carpal Tunnel Syndrome - physiopathology Female Follow-Up Studies Humans Male median nerve Median Nerve - physiology Median Nerve - physiopathology nerve conduction studies Neural Conduction Neurologic Examination occupational disease Occupational Diseases - diagnosis Occupational Diseases - physiopathology predictive value Prognosis Regression Analysis |
| title | Predictive value of nerve conduction measurements at the carpal tunnel |
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